Pennsylvania Department of Health
 LIFEQUEST NURSING CENTER
Building Inspection Results

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Minimal Citation - No Harm Minimal Harm Actual Harm Serious Harm
LIFEQUEST NURSING CENTER
Inspection Results For:

There are  42 surveys for this facility. Please select a date to view the survey results.

Surveys don't appear on this website until at least 41 days have elapsed since the exit date of the survey.
LIFEQUEST NURSING CENTER - Inspection Results Scope of Citation
Number of Residents Affected
By Deficient Practice
Initial comments:Name: - Component: -- - Tag: 0000


Based on an Emergency Preparedness Survey completed on April 15, 2025, at Lifequest Nursing Center, it was determined there were no deficiencies identified with the requirements of 42 CFR 483.73.





 Plan of Correction:


Initial comments:Name: MAIN BUILDING 01 - Component: 01 - Tag: 0000


Facility ID #212602
Component 01
Main Building

Based on a Medicare/Medicaid Recertification Survey completed on April 15, 2025, it was determined that Lifequest Nursing Center was not in compliance with the following requirements of the Life Safety Code for an existing Nursing health care occupancy. Compliance with the National Fire Protection Association's Life Safety Code is required by 42 CFR 483.90(a).

This is a one-story, Type III (200), unprotected ordinary building, with a basement, that is fully sprinklered.






 Plan of Correction:


NFPA 101 STANDARD Means of Egress - General:This is a less serious (but not lowest level) deficiency and affects more than a limited number of residents, staff, or occurrences. This deficiency is one that results in minimal discomfort to the resident or has the potential (not yet realized) to negatively affect the resident's ability to achieve his/her highest functional status. This deficiency was not found to be throughout this facility.
Means of Egress - General
Aisles, passageways, corridors, exit discharges, exit locations, and accesses are in accordance with Chapter 7, and the means of egress is continuously maintained free of all obstructions to full use in case of emergency, unless modified by 18/19.2.2 through 18/19.2.11.
18.2.1, 19.2.1, 7.1.10.1
Observations:
Name: MAIN BUILDING 01 - Component: 01 - Tag: 0211

Based on observation and interview, it was determined the facility failed to maintain means of egress free of obstructions, affecting one of two levels.

Findings include:

Observation on April 15, 2025, at 10:50 a.m., revealed the double door exit required excessive force to open, Basement.

Exit Interview with the Administrator and Maintenance Director on April 15, 2025, at 12:00 p.m., confirmed the exit door deficiency.





 Plan of Correction - To be completed: 05/30/2025

The double door exit requiring excessive force to open in the Basement was repaired on 4/18/2025.
All exit doors in the building will be added to a Maintenance PM Schedule to conduct a monthly inspection for proper operation. The PM will be assigned to the Maintenance Dept. through the facility's work order system. This PM will continue indefinitely as part of the overall preventative maintenance for the building. The Director of Support Services will be responsible for compliance.

NFPA 101 STANDARD Fire Alarm System - Testing and Maintenance:This is a less serious (but not lowest level) deficiency but was found to be widespread throughout the facility and/or has the potential to affect a large portion or all the residents. This deficiency is one that results in minimal discomfort to the resident or has the potential (not yet realized) to negatively affect the resident's ability to achieve his/her highest functional status.
Fire Alarm System - Testing and Maintenance
A fire alarm system is tested and maintained in accordance with an approved program complying with the requirements of NFPA 70, National Electric Code, and NFPA 72, National Fire Alarm and Signaling Code. Records of system acceptance, maintenance and testing are readily available.
9.6.1.3, 9.6.1.5, NFPA 70, NFPA 72
Observations:
Name: MAIN BUILDING 01 - Component: 01 - Tag: 0345

Based on observation review and interview, it was determined the facility failed to maintain the fire alarm system in proper operating condition, affecting the entire facility.

Findings Include:

Observation on April 15, 2025, at 11:00 a.m., revealed the facility fire alarm panel was in trouble mode at the time of survey.

Exit Interview with the Administrator and Maintenance Director on April 15, 2025, at 12:00 p.m., confirmed the fire alarm panel was in trouble mode.






 Plan of Correction - To be completed: 05/30/2025

Plan of Correction:

Fire alarm
Johnson Controls was contacted to repair the noted deficiencies. Repairs completed on 4/20/2025. The fire panel is no longer showing a trouble and is functioning correctly.
All staff responsible for working at the reception desk will be educated on procedures for checking the fire panel when alarming or if a trouble is sounding. In addition, they will be educated on the process of notifying Maintenance to inspect and repair the fire panel immediately. The Administrator and Director of Support Services will be responsible for compliance.
.
NFPA 101 STANDARD Sprinkler System - Installation:This is a less serious (but not lowest level) deficiency and affects more than a limited number of residents, staff, or occurrences. This deficiency is one that results in minimal discomfort to the resident or has the potential (not yet realized) to negatively affect the resident's ability to achieve his/her highest functional status. This deficiency was not found to be throughout this facility.
Spinkler System - Installation
2012 EXISTING
Nursing homes, and hospitals where required by construction type, are protected throughout by an approved automatic sprinkler system in accordance with NFPA 13, Standard for the Installation of Sprinkler Systems.
In Type I and II construction, alternative protection measures are permitted to be substituted for sprinkler protection in specific areas where state or local regulations prohibit sprinklers.
In hospitals, sprinklers are not required in clothes closets of patient sleeping rooms where the area of the closet does not exceed 6 square feet and sprinkler coverage covers the closet footprint as required by NFPA 13, Standard for Installation of Sprinkler Systems.
19.3.5.1, 19.3.5.2, 19.3.5.3, 19.3.5.4, 19.3.5.5, 19.4.2, 19.3.5.10, 9.7, 9.7.1.1(1)
Observations:
Name: MAIN BUILDING 01 - Component: 01 - Tag: 0351

Based on observation and interview, it was determined the facility failed to provide the proper sprinkler mounting orientation in a room lacking a ceiling, affecting three of five rooms in the basement of the facility.

Findings include:

Observations on April 15, 2025, between 10:43 a.m. and 11:05 a.m., revealed the wrong orientation of sprinkler provided for a basement without a ceiling in the following locations:

a. 10:43 a.m., in the basement telephone room, pendant sprinkler installed in downward position in room lacking ceiling
b. 10:50 a.m., in the basement sprinkler room, pendant sprinkler installed in downward position in room lacking ceiling
c. 11:05 a.m., in the basement boiler room, pendant sprinkler installed in downward position in room lacking ceiling

Exit interview with the Administrator and Maintenance director on April 15, 2025 at 12:00 p.m. confirmed the improper sprinkler mounting.








 Plan of Correction - To be completed: 05/30/2025

The sprinkler mounting orientation in the basement telephone room, sprinkler room, and boiler room were inspected by Johnson Controls. Repairs are to be contracted via Johnson Controls to turn sprinklers to appropriate positioning, work to be completed by 5/30/2025.
Maintenance will conduct a random inspection of sprinkler heads throughout the building to ensure compliance with NFPA 101 Standard for Sprinkler System Installation. The audits will be conducted for (3) months and will be documented. The Director of Support Services will be responsible for compliance.

NFPA 101 STANDARD Sprinkler System - Maintenance and Testing:This is a less serious (but not lowest level) deficiency and affects more than a limited number of residents, staff, or occurrences. This deficiency is one that results in minimal discomfort to the resident or has the potential (not yet realized) to negatively affect the resident's ability to achieve his/her highest functional status. This deficiency was not found to be throughout this facility.
Sprinkler System - Maintenance and Testing
Automatic sprinkler and standpipe systems are inspected, tested, and maintained in accordance with NFPA 25, Standard for the Inspection, Testing, and Maintaining of Water-based Fire Protection Systems. Records of system design, maintenance, inspection and testing are maintained in a secure location and readily available.
a) Date sprinkler system last checked _____________________
b) Who provided system test ____________________________
c) Water system supply source __________________________
Provide in REMARKS information on coverage for any non-required or partial automatic sprinkler system.
9.7.5, 9.7.7, 9.7.8, and NFPA 25
Observations:
Name: MAIN BUILDING 01 - Component: 01 - Tag: 0353

Based on observation and interview, it was determined the facility failed to maintain a smoke tight ceiling assembly in a sprinklered room, affecting one of two levels.

Findings Include:

Observation on April 15, 2025, between 10:10 a.m. and 10:20 a.m., revealed ceiling hatch doors failed to self-close when tested at the following locations:

a. 10:10 a.m., on the first floor, A1 Clean Linen Storage Room.
b. 10:20 a.m., on the first floor, B1 Central Supply Closet.

Exit Interview with the Administrator and Maintenance Director on April 15, 2025, at 12:00 p.m., confirmed the doors failed to self-latch.




 Plan of Correction - To be completed: 05/30/2025

Door closing mechanisms were installed on the clean linen storage room and central supply closet on 4/25/2025.
An audit of all ceiling access hatches in the building was conducted and documented to ensure each had a self-closing mechanism. Additionally, an annual Maintenance PM was also created to inspect the hatches annually by Maintenance. The Director of Support Services will be responsible for compliance.

NFPA 101 STANDARD Utilities - Gas and Electric:This is a less serious (but not lowest level) deficiency and affects more than a limited number of residents, staff, or occurrences. This deficiency is one that results in minimal discomfort to the resident or has the potential (not yet realized) to negatively affect the resident's ability to achieve his/her highest functional status. This deficiency was not found to be throughout this facility.
Utilities - Gas and Electric
Equipment using gas or related gas piping complies with NFPA 54, National Fuel Gas Code, electrical wiring and equipment complies with NFPA 70, National Electric Code. Existing installations can continue in service provided no hazard to life.
18.5.1.1, 19.5.1.1, 9.1.1, 9.1.2




Observations:
Name: MAIN BUILDING 01 - Component: 01 - Tag: 0511

Based on observation and interview, it was determined the facility failed to maintain electrical wiring, affecting one of two levels.

Findings include:

Observation on April 15, 2025, at 11:35 a.m., revealed an electrical/cable box missing its protective cover plate, Sub Acute Wing Sitting Room on the wainscoting wall.

Exit Interview with the Administrator and Maintenance Director on April 15, 2025, at 12:00 p.m., confirmed the electrical deficiency.




 Plan of Correction - To be completed: 05/30/2025

Plan of Correction:

A cover plate was placed on the electrical/cable box in the Subacute lobby on 4/16/2025.
An education will be provided for all maintenance staff regarding any electrical outlet and or A/V outlet work. Maintenance staff are to ensure all components are returned to full functionality upon completion or are properly locked out to prevent harm or injury to others. Maintenance staff is to complete a final inspection of their area upon work completion to ensure all tasks have been properly completed. The Director of Support Services will be responsible for compliance.

NFPA 101 STANDARD Electrical Systems - Receptacles:This is a less serious (but not lowest level) deficiency and affects more than a limited number of residents, staff, or occurrences. This deficiency is one that results in minimal discomfort to the resident or has the potential (not yet realized) to negatively affect the resident's ability to achieve his/her highest functional status. This deficiency was not found to be throughout this facility.
Electrical Systems - Receptacles
Power receptacles have at least one, separate, highly dependable grounding pole capable of maintaining low-contact resistance with its mating plug. In pediatric locations, receptacles in patient rooms, bathrooms, play rooms, and activity rooms, other than nurseries, are listed tamper-resistant or employ a listed cover.
If used in patient care room, ground-fault circuit interrupters (GFCI) are listed.
6.3.2.2.6.2 (F), 6.3.2.2.4.2 (NFPA 99)
Observations:
Name: MAIN BUILDING 01 - Component: 01 - Tag: 0912

Based on observation and interview, it was determined the facility failed to ensure the improper use of power strips and outlet multipliers was prohibited, affecting one of numerous smoke zones in the component.

Findings include:

Observation on April 15, 2025, at 10:35 a.m., revealed in the ABC Nourishment room, there were multiple battery back up for the nurse call system plugged into a powerstrip.

Exit Interview with the Administrator and Maintenance Director on April 15, 2025, at 12:00 p.m.,confirmed the improper use of power strips and the prohibited use of outlet multipliers.





 Plan of Correction - To be completed: 05/30/2025

The power strip in the ABC nourishment room was removed and an additional outlet was installed in its place on 4/16/2025.
Maintenance will conduct audits of equipment rooms, clean utility rooms and nourishment rooms to ensure there are no unauthorized power strips in use and will be corrected immediately if any deficiency is found. The audit will be conducted for (3) months and will be documented. The Director of Support Services will be responsible for compliance.

Initial comments:Name: KITCHEN ADDITION - Component: 03 - Tag: 0000


Facility ID #212602
Component 03
Kitchen Addition

Based on a Medicare/Medicaid Recertification Survey completed on April 15, 2025, at Lifequest Nursing Center - Kitchen Addition, it was determined there were no deficiencies identified under the requirements of the Life Safety Code for a new Nursing health care occupancy. Compliance with the National Fire Protection Association's Life Safety Code is required by 42 CFR 483.90(a).

This is a one-story, Type III (211), protected ordinary building, that is fully sprinklered.





 Plan of Correction:



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